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Related Experiment Videos

Quantitative microbiology: its application to hand injuries

K A Marshall, M T Edgerton, G T Rodeheaver

    American Journal of Surgery
    |June 1, 1976
    PubMed
    Summary
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    Civilian hand injuries show minimal bacterial contamination, similar to clean surgical wounds. This suggests a low infection risk, enabling immediate reconstruction for traumatic hand injuries.

    Area of Science:

    • Orthopedics
    • Infectious Disease
    • Hand Surgery

    Background:

    • Traumatic hand injuries often carry a perceived high risk of infection.
    • Previous assumptions suggested significant bacterial contamination in civilian hand wounds.

    Purpose of the Study:

    • To quantitatively assess the microbiologic contamination of civilian hand injuries.
    • To determine the infection risk associated with traumatic hand wounds.
    • To evaluate the suitability of immediate reconstructive procedures.

    Main Methods:

    • Quantitative microbiologic analysis was performed on 34 civilian hand injury patients.
    • Bacterial counts from traumatic wounds were compared to those from clean elective hand surgeries.

    Main Results:

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    • Most traumatic soft tissue hand injuries demonstrated insignificant bacterial contamination.
    • Bacterial levels in these wounds were comparable to clean surgical cases.
    • The risk of infection for most civilian hand wounds is considered very low.

    Conclusions:

    • Civilian hand wounds are generally clean, posing a low infection risk.
    • Immediate reconstruction, including vascular, bony, or neural repair and Silastic rod implantation, is a viable option for patients with traumatic hand injuries.